護理師正在忙碌的兒科病房將任務委派給 UAP。下列哪些任務護理師應親自執行而非委派？（選所有適合的）
The nurse is delegating tasks to a UAP on a busy pediatric unit. Which task should the nurse perform instead of delegating? (Select all that apply.)
- AFeeding a 4-year-old child who has a stable fractured arm.餵食一名手臂骨折但狀況穩定的4歲兒童
- BAssessing the lung sounds of a child with cystic fibrosis.✓ 正解評估一名患有囊狀纖維化兒童的肺部呼吸音
- CAdministering a scheduled dose of oral acetaminophen to a child with a fever.✓ 正解對一名發燒兒童給予定時的口服乙醯胺酚（acetaminophen）
- DRecording the weight of a child using a standardized bed scale.使用標準病床秤記錄一名兒童的體重
- ETeaching the parents how to perform home chest physiotherapy.✓ 正解教導父母如何進行居家胸部物理治療
委派（Delegation）必須遵守「五個權限（Five Rights）」且不能包含「評估（Assessment）」、「給藥（Medication Administration）」與「衛教（Teaching）」。對於囊狀纖維化病人的肺部聽診（B）屬於複雜的物理評估，這需要專業判斷來辨識痰液堆積或感染徵象。給藥（C），即便只是口服普拿疼，在兒科中涉及精確的劑量計算與藥物反應監測，依法必須由護理師執行。教導居家胸腔物理治療（E）則是複雜的健康教育，UAP 不具備解釋機轉與確認父母掌握技巧的資格。相對而言，餵食穩定病人（A）與量體重（D）是常規照護，可安全委派。護理師必須守住專業職責的底線，確保醫療品質與安全。
Delegation must follow the Five Rights and may not include assessment, medication administration, or teaching. Auscultation of lung sounds in a client with cystic fibrosis (B) is a complex physical assessment that requires professional judgment to identify findings such as secretion accumulation or signs of infection. Medication administration (C), even of oral acetaminophen, in pediatrics involves precise dose calculation and monitoring for drug response, and by regulation must be performed by the nurse. Teaching home chest physiotherapy (E) is complex health education; UAPs lack the qualifications to explain the underlying mechanism or to verify that the parents have mastered the technique. By contrast, feeding a stable client (A) and obtaining a weight (D) are routine care tasks that can be safely delegated. The nurse must maintain the boundary of professional responsibility to ensure quality and safety.
在美國，兒科護理對給藥安全性要求極高，UAP 絕對禁止給藥。在台灣，雖然法律規定相同，但在部分基層診所或居家照護中，有時會出現非專業人員協助給藥的灰色地帶。NCLEX 考試時必須嚴格遵守「評估、給藥、教學不委派」的黃金準則，不受地方非正式習慣影響。